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West Virginia rates for HCPCS 54304

Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.25 / $756.25 / $1,700.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.29 / $766.78 / $854.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.54 / $880.32 / $959.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.55 / $852.55 / $852.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.19 / $850.19 / $850.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.18 / $1,065.69 / $5,121.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.02 / $950.95 / $1,348.14